Difference between revisions of "Uterine isthmocele"

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'''Uterine isthmocele''', also '''cesarean scar pouch''', '''niche''', '''cesarean scar defect''',  is pseudocyst that arises from cesarean section at uterine incision site.
'''Uterine isthmocele''', also '''cesarean scar pouch''', '''niche''', '''cesarean scar defect''',  is a [[pseudocyst]] that arises from cesarean section at uterine incision site.


==General==
==General==
*[[Clinical diagnosis]].
*[[Clinical diagnosis]].
*It may be assocatied with secondary infertility;<ref name=pmid22395067>{{Cite journal  | last1 = Florio | first1 = P. | last2 = Filippeschi | first2 = M. | last3 = Moncini | first3 = I. | last4 = Marra | first4 = E. | last5 = Franchini | first5 = M. | last6 = Gubbini | first6 = G. | title = Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. | journal = Curr Opin Obstet Gynecol | volume = 24 | issue = 3 | pages = 180-6 | month = Jun | year = 2012 | doi = 10.1097/GCO.0b013e3283521202 | PMID = 22395067 }}
*Common (minor) complication of cesarean section; possibly, may be reduced by surgical technique.<ref name=pmid16023780>{{Cite journal  | last1 = Yazicioglu | first1 = F. | last2 = Gökdogan | first2 = A. | last3 = Kelekci | first3 = S. | last4 = Aygün | first4 = M. | last5 = Savan | first5 = K. | title = Incomplete healing of the uterine incision after caesarean section: Is it preventable? | journal = Eur J Obstet Gynecol Reprod Biol | volume = 124 | issue = 1 | pages = 32-6 | month = Jan | year = 2006 | doi = 10.1016/j.ejogrb.2005.03.023 | PMID = 16023780 }}</ref>
*High prevalence - one estimate is 63% cesarean section patients have an isthmocele.<ref name=pmid25282945>{{Cite journal  | last1 = Melo-Cerda | first1 = I. | title = [Cesarean scar defect]. | journal = Ginecol Obstet Mex | volume = 82 | issue = 8 | pages = 530-4 | month = Aug | year = 2014 | doi =  | PMID = 25282945 }}</ref>
*It may be associated with secondary infertility;<ref name=pmid22395067>{{Cite journal  | last1 = Florio | first1 = P. | last2 = Filippeschi | first2 = M. | last3 = Moncini | first3 = I. | last4 = Marra | first4 = E. | last5 = Franchini | first5 = M. | last6 = Gubbini | first6 = G. | title = Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. | journal = Curr Opin Obstet Gynecol | volume = 24 | issue = 3 | pages = 180-6 | month = Jun | year = 2012 | doi = 10.1097/GCO.0b013e3283521202 | PMID = 22395067 }}
</ref> thus, it may be surgically removed.
</ref> thus, it may be surgically removed.


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*[[Endometriosis]] (external aspect of uterus).
*[[Endometriosis]] (external aspect of uterus).
*[[Adenomyosis]].
*[[Adenomyosis]].
*[[Endosalpingiosis]].
*[[Uterine leiomyoma]].
==Sign out==
<pre>
Submitted as "Isthmocele", Excision:
    - Benign smooth (uterine) muscle with scant endometrial tissue
      and scar, compatible with isthmocele/cesarean scar.
</pre>


==See also==
==See also==

Latest revision as of 15:40, 9 October 2018

Uterine isthmocele, also cesarean scar pouch, niche, cesarean scar defect, is a pseudocyst that arises from cesarean section at uterine incision site.

General

  • Clinical diagnosis.
  • Common (minor) complication of cesarean section; possibly, may be reduced by surgical technique.[1]
  • High prevalence - one estimate is 63% cesarean section patients have an isthmocele.[2]
  • It may be associated with secondary infertility;[3] thus, it may be surgically removed.

Microscopic

Features:

  • Smooth muscle with fibrosis/scar.
  • +/-Chronic inflammation.

DDx:

Sign out

Submitted as "Isthmocele", Excision:
     - Benign smooth (uterine) muscle with scant endometrial tissue 
       and scar, compatible with isthmocele/cesarean scar.

See also

References

  1. Yazicioglu, F.; Gökdogan, A.; Kelekci, S.; Aygün, M.; Savan, K. (Jan 2006). "Incomplete healing of the uterine incision after caesarean section: Is it preventable?". Eur J Obstet Gynecol Reprod Biol 124 (1): 32-6. doi:10.1016/j.ejogrb.2005.03.023. PMID 16023780.
  2. Melo-Cerda, I. (Aug 2014). "[Cesarean scar defect].". Ginecol Obstet Mex 82 (8): 530-4. PMID 25282945.
  3. Florio, P.; Filippeschi, M.; Moncini, I.; Marra, E.; Franchini, M.; Gubbini, G. (Jun 2012). "Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility.". Curr Opin Obstet Gynecol 24 (3): 180-6. doi:10.1097/GCO.0b013e3283521202. PMID 22395067.